Provider Demographics
NPI:1669540860
Name:QUAYE, ERNEST N (MD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:N
Last Name:QUAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 HERNDON PKWY
Mailing Address - Street 2:SUITE # 117
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5290
Mailing Address - Country:US
Mailing Address - Phone:703-230-7201
Mailing Address - Fax:703-230-7204
Practice Address - Street 1:464 HERNDON PKWY
Practice Address - Street 2:SUITE # 117
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5290
Practice Address - Country:US
Practice Address - Phone:703-230-7201
Practice Address - Fax:703-230-7204
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043188208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics